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Licensing details for: 12571

Name: LITTLE HEROES OF ORANGE COUNTY PEDIATRIC DENTISTRY DENTAL OFFICE

License Type: Fictitious Name Permit

Primary Status: Expired Primary Status Definition

Organization Classification: Corporation

Previous Names: LITTLE HEROS OF ORANGE COUNTY PEDIATRIC DENTISTRY

Address of Record

26534 MOULTON PARKWAY, SUITE C
LAGUNA HILLS CA 92653
ORANGE county
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Issuance Date

January 7, 2016

Expiration Date

January 31, 2021

Current Date / Time

June 6, 2025
2:6:23 AM

License Relationships

FNP Owners

License/Registration Role: Fictitious Name Permit

Related Party Role: Owners

Name: AHMADI-ARDAKANI, AZADEH

Address Not Disclosed

FNP to DDS or OMS

License/Registration Role: Fictitious Name Permit

Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Name: AHMADI-ARDAKANI, AZADEH

License/Registration Type: Dentist License

License Number: 59353 Primary Status: Current - Active

Address :
26534 Moulton Pkwy
suite C
26534 Moulton pkwy
LAGUNA HILLS CA 92653-8241
ORANGE COUNTY

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